Answer this question truthfully
### Question: What causes Erectile dysfunction?
### Response: An erection requires the interaction of your brain, nerves, hormones, and blood vessels. Anything that interferes with the normal process can lead to a problem.
Common causes of erection problems include:
Diseases and conditions such as diabetes, high blood pressure, heart or thyroid conditions, poor blood flow, depression, or neurologic disorders (such as multiple *sclerosis or Parkinson's disease) Medications such as blood pressure medications (especially beta-blockers), heart medications (such as digoxin), some peptic ulcer medications, sleeping pills, and *antidepressants Nerve damage from prostate surgery Nicotine, alcohol, or cocaine use Poor communication with your partner Repeated feelings of doubt and failure or negative communication that reinforce the erection problems Spinal cord injury Stress, fear, anxiety, or anger Unrealistic sexual expectations, which make sex a task rather than a pleasure